Organization
SAMANTHA AVIS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA AVIS LPCC (OWNER)
(513) 277-1013
Entity
Organization
Contact information
Practice address
7000 HOUSTON RD STE 2, FLORENCE, KY 41042-4874
(513) 277-1013
(859) 993-6958
Mailing address
1198 CROSSPOINTE DR, HEBRON, KY 41048-7330
(513) 277-1013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/28/2024
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